HCCA Conference Slides and Recordings

  1. HIPAA Lessons from the Headlines

    2021 HCCA Webinar  | November 17, 2021 

    • Discuss recent examples of potential HIPAA violations from the headlines Identify

    • HIPAA risks and how to minimize them Learn best practices for staying

    • HIPAA compliant in your organization

  2. Addressing High-Risk Compliance Areas and Avoiding Common Pitfalls in Risk Assessment, Monitoring

    2021 HCCA Webinar  | November 16, 2021 

    • Build a compliance work plan to proactively address known areas of risk

    • Learn how to approach risks using different assessment techniques: Training, analytics, auditing

    • Demonstrate a continuous improvement process within your compliance program

  3. Out-of-Network and Balance Billing Restrictions

    2021 HCCA Webinar  | November 03, 2021 

    • Identify state laws regarding balance billing and how they interact with the new federal law

    • Explain the effects on communication by providers and payers

    • Address changes to member out-of-pocket expenses and provider reimbursement

    • Understand the basic process of the new law{br/}

  4. Compliance Responsibilities Related to the Avoidance of Duplicate Discount Compliance

    2021 HCCA Webinar  | November 02, 2021 

    • Background of the 340B Program

    • Overview of the compliance requirements of the 340B Program

    • Overview of Medicaid as it relates to the 340B Program

    • Definition of a duplicate discount in the 340B Program

    • State-by-State variations

    • HRSA's expectations: Program auditing

    • Navigating Medicaid billing and the 340B Program within your institution{br/}

  5. Conducting Your Own Compliance Program Effectiveness Review

    HCCA Webinar  | October 27, 2021 

    • Understand the updated guidance and expectations from the Department of Justice

    • Learn how to conduct your own compliance program effectiveness assessment, assess your risks, and develop/document corrective action plans

    • Understand the importance of monitoring identified risks and communicating to key stakeholders to ensure the ongoing effectiveness of your program{br/}

  6. Best Practices for Healthcare Internal Audits

    2021 HCCA Webinar  | October 21, 2021 

    • Audit workplan development

    • What auditors should consider before they begin an audit

    • Internal auditor conduct

    • How auditors should approach sampling

    • What to review during an audit over a specific area

  7. How To Develop a Robust 340B Compliance Audit; to Include Mixed-Use, Retail, and Contract Pharmacy

    2021 HCCA Webinar  | October 13, 2021 

    • Background of the 340B Program related to audits

    • Overview of the compliance requirements of the 340B Program resources needed to effectively manage 340B Program audits

    • How to create successful audit templates and samples

    • How to report out audit results to leadership

  8. The Drug Diversion Triad

    2021 HCCA Webinar  | October 12, 2021 

    • Identify one change in DEA rules due to COVID-19

    • Describe at least two workflow changes during COVID-19 that created unintended opportunities for diversion

    • Relate human responses to COVID-19 and impact on rate of drug diversion in healthcare

    • Evaluate three drug diversion risk mitigation strategies

  9. Proposed Changes to the HIPAA Privacy Rule and What They Mean for Covered Entities

    2021 Hawaii Regional Healthcare Compliance Conference  | October 07, 2021 

    • Distinguishing the key changes in the notice proposed of proposed rule making

    • Recognizing the potential implications of the proposed rule changes on your healthcare organization

    • Understanding the preparation needed for the proposed changes and the implications for info blocking

  10. The Stark Law: Help Me Understand!

    2021 Hawaii Regional Healthcare Compliance Conference  | October 07, 2021 

    • Understand the Stark Law basics to identify issues

    • Operationalize the Stark Law within your organization

    • Help identify issues and guidance on resolving issues internally or through self-disclosure

  11. Common DRG Validation Denial Reasons and Strategies for Appealing Them

    2021 HCCA Webinar  | October 06, 2021 

    • Distinguish DRG validations from clinical validations

    • Identify commonDRG validation denial reasons

    • Discuss strategies for successfully responding to DRG validation denials

  12. Hot Topics in Enforcement After 18 Months of the Pandemic

    2021 HCCA Webinar  | October 05, 2021 

    • CARES Act Enforcement Update

    • Anti-Kickback, Stark, and False Claims Act developments

    • Hospital-Physician Arrangements Enforcement Update

    • Value Based Arrangements and Fraud and Abuse Update

  13. COI Management Basics and Best Practices

    2021 HCCA Webinar  | September 30, 2021 

    • Understand what conflicts of interest are and why they matter

    • Describe common challenges in managing conflicts of interest

    • Identify concepts and tips for developing a conflicts of interest plan

  14. Moving the Goalpost on Nurse Staffing Requirements

    2021 HCCA Webinar  | September 23, 2021 

    • Gain an in-depth understanding of Payroll-Based Journal Data and how it is utilized by government enforcement agencies and in patient care cases

    • Learn about Plaintiff's staffing theories and attempts to assign a higher staffing level based on acuity or the CMS "expected staffing" model in LTC centers

    • Develop strategies to combat Plaintiff's attempts at heightened nurse staffing theories

  15. Telemedicine Best Practices Following COVID-19

    2021 Kansas City Regional Healthcare Compliance Conference  | September 17, 2021 

    • Review and analysis of regulatory guidance about Telemedicine coverage before and after COVID-19

    • Review and analysis of privacy and licensure issues in Telemedicine before and after COVID-19

    • Review and analysis of fraud and enforcement trends in connection with Telemedicine before, during, and after COVID-19

  16. Seven Compliance Hacks for after the COVID-19 Pandemic (September 2021)

    2021 HCCA Webinar  | September 16, 2021 

    • Tracking and ensuring Provider Relief Fund compliance

    • Navigating executive order, regulatory, and legislative changes

    • Focusing on digital health and telehealth compliance

    • Cybersecurity risks and HIPAA breach notifications

    • Covid-19 vaccines, safety, and public health guidance

    • Value-based care and the impact of the pandemic on compliance

    • Health justice, equity, and inclusion

    • What's on the horizon

  17. Physician Compensation Moving to Value-Based Care: Aligning Compensation with New Payment Models Under Stark or AKS Rules

    2021 HCCA Webinar  | September 08, 2021 

    • Learn how the new Stark/AKS regulations truly open opportunities for value-based care in physician compensation plans

    • Learn how to redesign physician compensation plans for both employed/contracted physicians as well as independent physician groups under the new regulations

    • Learn how to establish stronger FMV opinions using market- and practice-specific economic factors to augment historical valuation techniques

  18. The Art of Preparing for CMMC Readiness: A Cyber Standard for the 2020s

    2021 HCCA Webinar  | September 02, 2021 

    • Understand why CMMC is such a valued reference for addressing risks in the cyber supply chain (for e.g., your business associates)

    • Walk through core components, organization, and CMMC maturity levels

    • Navigate requirements to achieve CMMC certification Examine key steps for establishing a CMMC-based compliance and cyber program

  19. The Future of Healthcare Technology and Cybersecurity Enforcement

    2021 HCCA Webinar  | August 31, 2021 

    • Overview of the latest developments in healthcare technology, particularly as related to EHR and telehealth and related federal enforcement activities

    • Discussion of the cybersecurity risks for organizations using this latest technology or other technology that hosts/creates patient data and how organizations can protect themselves against these risks

    • Discussion of the expected increase in False Claims Act enforcement with respect to government contracts requiring (explicitly or implicitly) compliance with cybersecurity standards

  20. Proactive risk management for healthcare - beyond the clinical lens

    2021 HCCA Webinar  | August 30, 2021 

    • Understand and articulate how risk appetite can be applied in a medical setting

    • Understand how risk management can assist in improving patient care

    • Leveraging regulatory requirements to add value to the organization

    • Explain how Enterprise Risk Management can be utilized to look beyond clinical risk

  21. Compliance and Liability Considerations for Physicians and Organizations Employing Phys. Assist

    2021 HCCA Webinar  | August 12, 2021 

    • Discuss compliance concerns arising from changes to the BBA and SSA related to the use of Pas and NPs

    • Identify case law involving Pas, NPs, physicians, and organizations demonstrating compliance risks

    • Describe strategies to reduce risk of violating the AKS and FCA when employing Pas and NPs

  22. Detecting, Responding, and Preventing COVID-19 Frauds

    2021 Philadelphia Regional Healthcare Compliance Conference  | August 06, 2021 

    • Overview of the latest evolving COVID-19 fraud

    • Learn strategies to prevent, identify and respond to fraud indicators

    • Hear about recent criminal, civil and administrative investigative actions

  23. Is Your Hotline "Hot?" Approaches to Improving and Promoting Your Compliance Hotline (August 2021)

    2021 HCCA Webinar  | August 02, 2021 

  24. CARES Act Provider Relief Fund: Compliance Concerns

    2021 Kansas City Regional Healthcare Compliance Conference  | September 17, 2021 

    • Address permitted and prohibited uses of Provider Relief Fund payments

    • Documenting and reporting on use of funds and Single Audit requirements

    • Preparing for anticipated enforcement activity

  25. Emerging Areas of Health Care Compliance and Enforcement

    2021 Philadelphia Regional Healthcare Compliance Conference  | August 06, 2021 

    • Billing for services where there is failure to comply with clinical standards (Upper Allegheny Health System 5/21/21 settlement)

    • Billing for services not reasonable or necessary/corporate policy and practice tracking software to increase revenue (Isaac Laufer, Tami Whitney, and Montclair Care Center (SDNY Complaint June 2021) SavaSeniorCare LLC (settlement 5/21/21)

    • Patient billing and failure to offer financial assistance (State of Washington v. Franciscan Health System Consent decree Washington AG 4/29/19)